Sponsored by Hosted by
CAPITAL HOSPICE 12K
Sunday, February 1, 2009 10:00am
Bluemont Park, Arlington, Virginia
DCRRC 12K Club Championship
· Conducted by D.C. ROAD RUNNERS CLUB to benefit Capital Hospice –
help further their volunteer efforts of caring for those with a serious progressive illness.
Matching sponsorships provided by Metro Run & Walk.
10:00am 12K footrace 10:10am 3K fun run 11:30am Post-race fun and prizes www.dcroadrunners.org
Rolling, challenging course on Custis and W&OD bike paths, alongside Four Mile Run and I-66
(course limit 250 runners)
Directions:
à From Washington DC, take Key Bridge to Wilson Boulevard. Follow Wilson Boulevard to Manchester
Street, turn left and park in the Bluemont parking lot
à From I-66 East, take Fairfax Drive exit to right on Glebe Road, right on Wilson Boulevard
à From I-66 West, take Glebe Road exit and go left, then right on Wilson Boulevard. Take a left on
Manchester Street, right on 4th Road, left on Montague Street, left on 4th Street, left on Manchester Street
to south pavilion
· Prizes: top five overall male and female, top masters, and 10-year age groups
For more info: call DCRRC, 703-241-0395, or e-mail
Enter on-line at www.active.com, or fill out and mail in entry form below.
Send this form and your check to DCRRC, P. O. Box 545, McLean VA 22101
Name ________________________________ Phone ____________________ Age _____ M/F __
Address __________________________________ City, State, ZIP_____________________________
DOB ____ ____, _______ E-mail __________________________________________________
Additional contributions to Capital Hospice (to be matched by Metro Run & Walk) are requested.
All runners receive a drawstring bag sponsored by
[_] FREE for DCRRC members
[_] $5 for all others
[_] Contribution to Capital Hospice (to be matched by Metro Run & Walk) ________
[_] FREE for all for 3K fun run
Total payment: _____ entry fee _____ contribution ______ total
I know running a race is a potentially hazardous activity. I should not enter and run unless I am medically able and properly trained. I agree to abide by any decision of a race official relevant to my ability to safely complete this event. I assume all risks associated with running in this event, including, but not limited to: falls, contact with other participants, effects of the weather, including high heat and/or humidity, and conditions of the course, all such risks being known and appreciated by me. Having read this waiver and knowing these facts, and in consideration of your accepting my entry, I, for myself and anyone entitled to act on my behalf, waive and release all sponsors, including Arlington County VA, their elected and appointed officials and employees, DC Road Runners Club, RRCA, their officers, directors, agents, and employees, and all officials of this event from all claims or liabilities of any kind arising out of my participation in this event even though that liability may arise out of negligence or carelessness on the part of the persons named in this waiver. I understand this event is conducted under the regulations of Arlington County VA. I agree to release my name and photo for publicity purposes. I understand that my name and address will be provided to the sponsors of this event. Parent or guardian must sign for children under 18.
Signature (Parent or Guardian if under 18) ______________________________________ Date ______________